REUNION REGISTRATION FORM

                          Portland, Oregon NPCA Reunion Registration

 Name:
Postal Rate/Position:
Dates of Service:
Guest Names:
E_mail
Tel:

                                                       INSTRUCTIONS

Registration cost is ? for each attendee member or guest.  Registration includes hospitality suite for four days and banquet.  There is also a ? cost for the ?tour.  Send completed registration form, registration fees, amount for the tour and association dues, if applicable, to the association Treasurer Terry Baardsgaard.   Mailing address:

 

NPCA Treasurer

Terry Baardsgaard
900 Round Table CT
Virginia Beach VA 23464-8846

 

ATTENDEES   (Includes guest)                  _____  X      $ TBD  = ________________

 

 ? (Optional)                                             ______X       $ TBD  =  ________________

 

Bi-Annual Dues (Optional)                                            $ 20  =  ________________

              or

Lifetime Membership                                                     $ 50  =   ________________­

 

TOTAL:                                                                                       ________________

 

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